NPI | 1568592962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 171565) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 171565) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2012-04-11 |